Organization Active NPI

Williamsconsultant Com LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1306450960
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
WILLIAMSCONSULTANT COM LLC
Practice address
2303 N 44TH St Ste 12-1043
Phoenix, AZ 85008-2442
Phone
(520) 661-3035
NPI assigned
Sep 1, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Travis Williams
Title
Credentialing Specialist
Phone
(214) 646-1606

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

2303 N 44TH St Ste 12-1043
Phoenix, AZ 85008-2442

Mailing address

929 N Val Vista Dr
Ste 109 PMB 1113
Gilbert, AZ 85234-3701
Phone (602) 880-0133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260529001584 AZ Part B Supplier - Clinic/Group Practice 1254741317 Receives reassigned benefits from 1 practitioner
Practice locations: Queen Creek, AZ

National Provider Directory

National Provider Directory

Locations

2303 N 44th St
Ste 121043
Phoenix, AZ 85008
Phone (520) 661-3005

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1598918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752796800000",
    "number": "1306450960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 N VAL VISTA DR",
            "address_2": "STE 109 PMB 1113",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852343701",
            "telephone_number": "602-880-0133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2303 N 44TH ST STE 12-1043",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850082442",
            "telephone_number": "520-661-3035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMSCONSULTANT COM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-01",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "214-646-1606"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.